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埃塞俄比亚贡德尔大学医院医护人员职业倦怠综合征的患病率。

Prevalence of burnout syndrome among health-care professionals working at Gondar University Hospital, Ethiopia.

作者信息

Bhagavathula Akshaya Srikanth, Abegaz Tadesse Melaku, Belachew Sewunet Admasu, Gebreyohannes Eyob Alemayehu, Gebresillassie Begashaw Melaku, Chattu Vijay Kumar

机构信息

Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Department of Paraclinical Sciences, Public Health Unit, Faculty of Medical Sciences, The University of the West Indies, St. Augustine, Trinidad and Tobago.

出版信息

J Educ Health Promot. 2018 Nov 27;7:145. doi: 10.4103/jehp.jehp_196_18. eCollection 2018.

DOI:10.4103/jehp.jehp_196_18
PMID:30596117
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6282498/
Abstract

BACKGROUND

Due to exhaustive working climate, health-care professionals (HCPs) are highly exposed to emotional strain and work-related stress that leads to burnout syndrome (BOS).

AIM

We aimed to explore the prevalence of BOS among HCPs and delineate the factors that contribute to developing this emerging threat in HCPs working in Gondar University Hospital (GUH).

METHODS

A cross-sectional study was conducted among HCPs using a self-administered validated questionnaire containing sociodemographic and job characteristics, symptoms of burnout using Astudillo and Mendinueta questionnaire, and Maslach Burnout Inventory scale. The prevalence of BOS was assessed by summation of answers to all 19 items with a range of 0-57. HCPs who scored >23 were considered as burned out. Pearson's correlation analysis and multivariate logistic regression were used to assess the relationship between BOS and job factors. Data were analyzed using descriptive and inferential statistics.

RESULTS

A total of 250 HCPs were approached out of which 248 responded (response rate -99.2%). The overall prevalence of burnout was 13.7% and majority of the respondents experienced debility (52.8%), self-criticism (56%), and depressive symptoms (46%). BOS symptoms were significant with age ( = 0.008), number of patients treated per day ( < 0.001), and HCPs working in shifts ( < 0.001). Higher mean levels of emotional exhaustion (5.4 ± 1.2) and inefficacy (5.1 ± 1.7) were noticed than cynicism (4.8 ± 2.0). Male HCPs, being single and years of experience, were determinant factors for all the three dimensions of BOS, whereas profession was significantly determinant for emotional exhaustion ( < 0.01).

CONCLUSION

The prevalence of BOS among HCPs working in GUH was 13.7%. Being male, unmarried, and years of experience were significant risk factors for all the three dimensions of BOS. Pragmatic measures are recommended to prevent stressful challenges for the physical and mental well-being of the HCPs in GUH.

摘要

背景

由于工作环境恶劣,医疗保健专业人员(HCPs)极易受到情绪压力和工作相关压力的影响,进而导致职业倦怠综合征(BOS)。

目的

我们旨在探讨冈德尔大学医院(GUH)的HCPs中BOS的患病率,并确定导致这一新兴威胁的因素。

方法

对HCPs进行横断面研究,使用一份经过验证的自填问卷,内容包括社会人口统计学和工作特征、使用Astudillo和Mendinueta问卷评估的职业倦怠症状以及马氏职业倦怠量表。通过对所有19个项目的答案进行求和来评估BOS的患病率,范围为0 - 57。得分>23的HCPs被视为职业倦怠。使用Pearson相关分析和多因素逻辑回归来评估BOS与工作因素之间的关系。数据采用描述性和推断性统计进行分析。

结果

共接触了250名HCPs,其中248人做出回应(回应率 - 99.2%)。职业倦怠的总体患病率为13.7%,大多数受访者经历了虚弱(52.8%)、自我批评(56%)和抑郁症状(46%)。BOS症状与年龄( = 0.008)、每天治疗的患者数量( < 0.001)以及轮班工作的HCPs( < 0.001)显著相关。注意到情绪耗竭(5.4 ± 1.2)和无效能感(5.1 ± 1.7)的平均水平高于玩世不恭(4.8 ± 2.0)。男性HCPs、单身和工作年限是BOS三个维度的决定因素,而职业对于情绪耗竭具有显著的决定作用( < 0.01)。

结论

在GUH工作的HCPs中,BOS的患病率为13.7%。男性、未婚和工作年限是BOS三个维度的重要危险因素。建议采取务实措施,以防止对GUH中HCPs的身心健康造成压力挑战。